Evidence map›Paper›PMID 29164131›Full record

ArticleFrontiers in surgery2017

Continuous Laparoscopic Closure of the Linea Alba with Barbed Sutures Combined with Laparoscopic Mesh Implantation (IPOM Plus Repair) As a New Technique for Treatment of Abdominal Hernias.

Reiko Wiessner, Thomas Vorwerk, Claudia Tolla-Jensen, Alexander Gehring

Open access · goldAbstract read
In one paragraph

Article in Frontiers in surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 4 pooled it
3.2field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 4 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Pooled it
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  4. Pooled it
  5. Article
  6. Article
  7. Article
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  9. Article
  10. Comparison of two fascial defect closure methods for laparoscopic incisional hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2022
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Primary non-complicated midline ventral hernia: is laparoscopic IPOM still a reasonable approach?Hernia : the journal of hernias and abdominal wall surgery · 2019
    Review
  17. Extraperitoneal laparoscopic ventral hernia repair: one step beyond.Hernia : the journal of hernias and abdominal wall surgery · 2019
    Article
  18. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Reiko WiessnerDepartment of General and Visceral Surgery, Boddenkliniken Ribnitz-Damgarten, Ribnitz-Damgarten, Germany.
Thomas VorwerkDepartment of General and Visceral Surgery, Boddenkliniken Ribnitz-Damgarten, Ribnitz-Damgarten, Germany.
Claudia Tolla-JensenDepartment of General and Visceral Surgery, Boddenkliniken Ribnitz-Damgarten, Ribnitz-Damgarten, Germany.
Alexander GehringDepartment of General and Visceral Surgery, Boddenkliniken Ribnitz-Damgarten, Ribnitz-Damgarten, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite extensive experience and significant reduction of complications in recent years, laparoscopic treatment of complex abdominal hernias is a challenge even for the experienced endoscopic surgeon. Patients with severe incisional hernias or symptomatic rectus diastasis benefit from the closure of the linea alba as a morphological and physiological reconstruction of the abdominal wall followed by mesh implantation. Occasionally, an additional component separation is necessary. In open surgery, this is associated with very large wound areas, postoperative seromas, poor wound healing and, in the worst case, mesh infections. To avoid these complications, we operate these complex reconstructions completely endoscopically. Our concept is based on a laparoscopic closure of the linea alba through an ongoing, barbed non-resorbable 1-0 suture (polybutester) and final reinforcement by an intraperitoneal-onlay mesh (IPOM-Plus). For the treatment of complex abdominal hernias with a width of more than 10 cm, we performed an endoscopic anterior bilateral component separation. This allows the surgeon to combine the advantages of the open abdominal wall reconstruction with those of laparoscopic hernia repair. Between May 2015 and June 2017, we treated 42 patients with abdominal hernias by laparoscopic continuous hernia defect closure and complementary mesh implantation, whereby a complex reconstruction with additional endoscopic anterior component separation was performed in five patients. In this article, we will present this innovative technique of endoscopic/laparoscopic hernia repair in complex abdominal hernias.

Indexed as

abdominal Herniabarbed sutureIPOMpluslaparoscopic component separation

Identifiers

PMID29164131
PMCPMC5676438
OpenAlexW2765820418

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.